Individual
DR. MARK T MACHUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1554 BOREN DR, STE 300, OCOEE, FL 34761-2986
(407) 877-9771
(407) 877-8505
Mailing address
2235 LAKE NALLY WOODS DR, GOTHA, FL 34734-4902
(407) 877-9771
(407) 877-8505
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH000496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050497100
—
FL
Enumeration date
06/28/2006
Last updated
03/31/2014
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